Edited by: Hassane Zouhal, University of Rennes 2 – Upper Brittany, France
Reviewed by: Beat Knechtle, University of Zurich, Switzerland; Maha Sellami, University of Split, Croatia
This article was submitted to Exercise Physiology, a section of the journal Frontiers in Physiology
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The aim of this study was to determine whether prepubertal children are metabolically comparable to well-trained adult endurance athletes and if this translates into similar fatigue rates during high-intensity exercise in both populations. On two different occasions, 12 prepubertal boys (10.5 ± 1.1 y), 12 untrained men (21.2 ± 1.5 y), and 13 endurance male athletes (21.5 ± 2.7 y) completed an incremental test to determine the power output at VO2max (PVO2max) and a Wingate test to evaluate the maximal anaerobic power (Pmax) and relative decrement in power output (i.e., the fatigue index, FI). Furthermore, oxygen uptake (VO2), heart rate (HR), and capillary blood lactate concentration ([La]) were measured to determine (i) the net aerobic contribution at 5-s intervals during the Wingate test, and (ii) the post-exercise recovery kinetics of VO2, HR, and [La]. The Pmax-to-PVO2max ratio was not significantly different between children (1.9 ± 0.5) and endurance athletes (2.1 ± 0.2) but lower than untrained men (3.2 ± 0.3,
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It has been widely demonstrated that prepubertal children fatigue less than untrained adults when performing dynamic, whole-body activities such as maximal cycling (Ratel et al.,
Beyond muscular factors, prepubertal children also display faster O2 uptake and heart rate (HR) recovery kinetics following high-intensity exercise than untrained adults (Armon et al.,
However, it is now known that metabolic profiles show significant inter-individual variability in young adults, and is specifically associated with their training background. While adults with a strong sprint training background predominantly rely on anaerobic energy support during exercise, endurance athletes depend more notably on oxidative energy pathways than either untrained adults or sprint-trained athletes (Pesta et al.,
Therefore, the aim of the present study was to determine whether, contrary to untrained adults, prepubertal children are metabolically comparable to well-trained adult endurance athletes and if this translates into similar fatigue rates during high-intensity exercise in both populations. We hypothesized that the relative energy contribution derived from oxidative metabolism during high-intensity exercise would be similar in prepubertal children and endurance-trained adult athletes, and this could lead to comparable fatigue rates between both populations. Furthermore, it is presumed that untrained adults rely less on oxidative metabolism and therefore fatigue faster during high-intensity exercise than prepubertal children and well-trained adult endurance athletes.
Twelve healthy boys (age: 8–12 y), 12 untrained men (19–23 y), and 13 endurance male athletes (19–27 y) volunteered to participate in the study. To be included, boys and untrained men had to perform recreational physical activity for ≤4 h per week and to be free of any medical contra-indication to physical activity. Boys were prepubertal based on the assessment of their somatic maturity (see below). None of them were involved in any vigorous physical activity or engaged in a specific aerobic training program. Boys were recruited from primary and secondary schools while untrained men were university students. Their recreational physical activities were Alpine skiing, snowboarding, sailing, skateboarding, climbing, etc. In contrast, endurance-trained adults were engaged in long distance physical activities for ≥6 times a week for at least 2 years and were national-level competitive athletes (i.e., long-distance runners, cyclists, and triathletes). They were recruited from local sports clubs (athletics, triathlon, and cycling). This study was approved by a local Institutional Ethics Review Board. The study was conducted in conformity with the policy statement regarding the use of human subjects by the Declaration of Helsinki. All experimental procedures were clearly explained to the participants, who then gave written consent before the commencement of testing. Written consent was also obtained from parents/guardians before children were accepted into the study.
All participants were tested in two experimental sessions separated by at least 48 h. During the first experimental session, anthropometric characteristics, body composition, maturation status, and the power at maximum O2 uptake (PVO2max) were evaluated. Furthermore, the participants had to perform two sprints (~7 s) on a cycle ergometer (Cyclus model II, MSE Electronic Medical, Leipzig, Germany) separated by 1 min of recovery against a resistance corresponding to 7.5% body mass (BM). These sprints served to familiarize the volunteers with the experimental procedures of the second session. During the second visit, the participants were asked to perform a Wingate cycle test to determine the maximal anaerobic power (Pmax), the fatigue rate (i.e., the relative decrement in power output), the relative (net) energy contribution derived from oxidative metabolism and the post-exercise recovery rates of blood lactate concentration, HR, and O2 uptake. The Wingate cycle test was chosen because it allows the simultaneous investigation of cardio-respiratory, metabolic, and muscular components of fatigue during a whole-body dynamic activity and is a common and well-learned activity within the population. Furthermore, the Wingate cycle test was found to be highly reliable from one session to another in children and adults for the evaluation of high-intensity exercise performance indices (Hebestreit et al.,
Body mass was measured to the nearest 0.1 kg using a digital weight scale (TANITA, BC-545N, Japan) and standing height was assessed using a portable stadiometer with the participants barefoot (TANITA, HR001, Japan). Sitting height was also measured with the stadiometer while the participants sat on the floor with their back against a wall. Body Mass Index (BMI) was subsequently calculated by the equation BM (kg)/height2 (m2). Skinfold thickness was measured in duplicate at the triceps and subscapular sites using a Harpenden caliper (Baty International, Burgess Hill, UK). The measurements were taken by the same investigator on the right side of the body to reduce variability in the results. Body fat (BF, %) was assessed using Slaughter's equations (Slaughter et al.,
Age from peak height velocity (APHV) was used to assess somatic maturity and determined by using height, sitting height and BM. Its calculation was only done in children and was based on sex-specific regression equations according to the method proposed by Mirwald et al. (
PVO2max was assessed using a submaximal graded test on a cycle ergometer (Cyclus model II, MSE Electronic Medical, Leipzig, Germany). Workloads were initially set at 30, 100, and 130 W and then increased by 15, 30, and 30 W every 3 min in prepubertal children, untrained adults, and well-trained adult endurance athletes, respectively. The pedaling rate was constant and self-selected by the participants between 50 and 90 rpm. The test was designed to have one warm-up stage and three to four additional submaximal stages leading HR to at least 160 bpm. HR was measured during the last minute of each stage using the Polar recorder linked to the cycle ergometer (Polar Electro, Kempele, Finland). If the participant's HR did not reach a plateau or the participant did not maintain cadence, the measurement was considered to be invalid. PVO2max was then assessed from individual linear regressions between power output and HR and by calculating the power output at the age-predicted maximal HR (HRmax). The squared Bravais-Pearson correlation coefficients of these linear relationships ranged between 0.91 and 0.99 (mean ± SD: 0.98 ± 0.02). HRmax was assessed using the equation formulated by Shargal et al. (
Furthermore, VO2max was assessed using the following equation:
where
The testing session started with a rest period of 10 min in a sitting position on the cycle ergometer. The saddle height was set at 107% of trochanteric leg length to give optimal comfort to each participant (Hamley and Thomas,
Ratings of perceived exertion (RPE) were noted immediately after completion of the Wingate test using the Children's Effort Rating Table (Williams et al.,
Capillary blood samples (0.2 μL) were obtained from the fingertips prior to the warm-up ([La]rest), before the Wingate test, immediately after completion of the test ([La](0)), and at 1, 3, 5, 7, 9, 15, and 20 min in recovery. Blood lactate concentrations were determined using the Lactate Scout+ analyzer (EKF Diagnostic, Leipzig, Germany). The device was systematically calibrated before each experimental session.
During the second experimental session, HR was continuously monitored using the Polar recorder linked to the Cyclus Model II ergometer (Polar Electro, Kempele, Finland). VO2 was also continuously measured breath-by-breath using a mobile spiroergometry system (METAMAX®3B, CORTEX Biophysik GmbH, Leipzig, Germany).
Maximal anaerobic power (Pmax) and minimal power (Pmin) reached during the Wingate test were defined as the highest and the lowest mechanical powers respectively, recorded over a 0.5-s period. The average power was considered as the mean power output (Pmean) sustained over the whole 30-s test. The fatigue index (FI) was calculated as the difference between Pmax and Pmin expressed as percentage of Pmax (Bar-Or,
The aerobic energy (in J) utilized during the Wingate test was calculated at 5-s intervals based on the net oxygen uptake (VO2−VO2rest) and the caloric equivalent of oxygen for a respiratory exchange ratio above 1.0, i.e., 21131 J·mL−1. The total energy consumed during the Wingate test was assessed from the mechanical work done at 5-s intervals and by considering a cycling efficiency of 23% for all the volunteers (Rowland et al.,
Resting VO2 and HR values (VO2rest and HRrest, respectively) were determined in a sitting position during the first 10 min of the second experimental session. Furthermore, the peak values of VO2 and HR (VO2pk and HRpk, respectively) were considered as the highest values reached at the end of the Wingate test. As resting and peak values of VO2 and/or HR differed between groups, the post-exercise recovery kinetics of VO2 and HR were determined by considering the net changes (peak exercise–baseline) expressed as percentage of peak values. Subsequent comparisons were done from values taken at 15-s intervals during the first 2-min and at 60-s intervals during the last 8-min. Values were more frequently taken at first in consideration of the initial fast phase of recovery of VO2 and HR in subsequent comparisons between groups.
Individual blood lactate recovery curves were fitted to the biexponential time function:
where [La](0) and [La](
Data were screened for normality of distribution and homogeneity of variances using a Shapiro-Wilk normality test and the Barlett's test, respectively. One-way (group) ANOVA was used to compare age, anthropometric characteristics, performance outcomes (e.g., Pmax, PVO2max, Pmax-to-PVO2max ratio) and blood lactate kinetics parameters (e.g., A1, A2, γ1, γ2, La]pk,
The physical characteristics of participants are presented in Table
Participants' physical characteristics.
Age (y) | 10.5 ± 1.1 | 21.5 ± 2.7 |
21.2 ± 1.5 |
Years to (from) APHV | −3.2 ± 1.0 | – | – |
Height (cm) | 141.6 ± 7.5 | 177.4 ± 7.5 |
178.3 ± 5.6 |
BM (kg·m−2) | 32.9 ± 5.1 | 67.5 ± 7.0 |
75.3 ± 8.7 |
BMI (kg·m−2) | 16.3 ± 1.1 | 21.4 ± 1.5 |
23.7 ± 2.3 |
BF (%) | 16.4 ± 2.9 | 8.7 ± 2.0 |
11.3 ± 4.0 |
FFM (kg) | 27.5 ± 4.2 | 61.6 ± 6.0 |
66.6 ± 5.9 |
HRrest (bpm) | 81.8 ± 8.6 | 53.2 ± 7.5 |
72.7 ± 10.6 |
VO2max/BM (mL·min−1·kg−1) | 49.0 ± 7.9 | 67.1 ± 6.9 |
48.1 ± 7.7 |
PVO2max (W) | 130.2 ± 26.9 | 366.2 ± 46.3 |
290.5 ± 40.2 |
PVO2max/BM (W·kg−1) | 4.0 ± 0.6 | 5.4 ± 0.6 |
3.9 ± 0.6 |
Pmax-to-PVO2max ratio | 1.9 ± 0.5 | 2.1 ± 0.2 | 3.2 ± 0.3 |
Furthermore, stature, BM, BMI, FFM, and PVO2max (W) were significantly lower in prepubertal children than untrained adults and well-trained adult endurance athletes (
Interestingly, no significant difference was observed in the Pmax-to-PVO2max ratio between prepubertal children and well-trained adult endurance athletes; however, the Pmax-to-PVO2max ratio was significantly higher in untrained adults than prepubertal children and well-trained adult endurance athletes (
Performance outcomes obtained during the Wingate test are displayed in Figure
Time course of power output during the Wingate test in prepubertal children, untrained adults, and well-trained adult endurance athletes. The relative decrement in power output (i.e., the fatigue index) is higher in untrained adults than children and well-trained adult endurance athletes but similar in children and well-trained adult endurance athletes.
Performance outcomes during the Wingate test in prepubertal children, untrained adults and well-trained adult endurance athletes.
Pmax (W) | 247.5 ± 74.1 | 771.3 ± 105.1 |
905.2 ± 87.5 |
Pmax/BM (W·kg−1) | 7.5 ± 1.4 | 11.4 ± 1.0 |
12.1 ± 1.3 |
tPmax (s) | 5.8 ± 3.3 | 1.9 ± 1.6 |
1.8 ± 1.6 |
Pmean (W) | 207.1 ± 44.5 | 612.1 ± 73.0 |
678.9 ± 65.6 |
Pmean/BM (W·kg−1) | 6.3 ± 0.8 | 9.1 ± 0.7 |
9.1 ± 0.9 |
FI (%) | 35.2 ± 9.6 | 41.8 ± 9.4 | 51.8 ± 4.1 |
RPE (1–10 scale) | 7.5 ± 1.0 | 8.5 ± 1.1 |
8.1 ± 0.7 |
HRpk (bpm) | 175.5 ± 12.4 | 166.6 ± 13.0 | 175.0 ± 6.3 |
More specifically, untrained adults displayed significantly higher values for Pmax (W), Pmean (W), and FI (%) than well-trained adult endurance athletes (
Regarding the relative aerobic contribution, ANOVA tended to show a group × time interaction effect [
Relative contribution of energy derived oxidative metabolism at 5-s intervals over the Wingate test in prepubertal children, untrained adults, and well-trained adult endurance athletes. *, **Significantly different at
ANOVA revealed a significant group × time interaction throughout the post-exercise recovery period for HR [
Recovery of net heart rate after the Wingate test in prepubertal children, untrained adults, and well-trained adult endurance athletes. Values were expressed as percentage of initial values. *, **, ***Significantly different at
No significant difference in the recovery rate of VO2 was observed between prepubertal children and well-trained adult endurance athletes (Figure
Recovery of net O2 uptake after the Wingate test in prepubertal children, untrained adults and well-trained adult endurance athletes. Values were expressed as percentage of initial values. *, **, ***Significantly different at
Finally, ANOVA revealed a significant group effect for [La](0) [
Blood lactate kinetics parameters obtained during the recovery period of the Wingate test in prepubertal children, untrained adults and well-trained adult endurance athletes.
[La]rest (mmol·L−1) | 1.8 ± 0.6 | 1.8 ± 0.7 | 2.0 ± 0.7 |
[La](0) (mmol·L−1) | 4.6 ± 1.0 | 5.3 ± 1.8 | 7.0 ± 2.4 |
A1 (mmol·L−1) | 3.7 ± 1.9 | 8.9 ± 4.7 |
8.9 ± 2.3 |
γ1 (min−1) | 0.78 ± 0.33 | 0.73 ± 0.40 | 0.86 ± 0.39 |
A2 (mmol·L−1) | −7.5 ± 2.2 | −13.6 ± 4.9 |
−15.3 ± 2.2 |
γ2 (min−1) | 0.07 ± 0.04 | 0.04 ± 0.01 |
0.02 ± 0.01 |
[La]pk (mmol·L−1) | 6.6 ± 2.1 | 10.7 ± 2.2 |
13.9 ± 1.7 |
2.5 ± 1.1 | 3.8 ± 1.2 |
4.2 ± 1.8 |
A significant positive relationship was observed between FI (%) and the Pmax-to-PVO2max ratio considering all participants (
Relationship between the fatigue index (FI, i.e., the relative decrement in power output over the Wingate test) and the maximum anaerobic-to-aerobic mechanical power ratio (Pmax-to-PVO2max) considering all participants. The higher the relative anaerobic contribution, the higher the development of fatigue during the Wingate test.
The aim of the present study was to determine whether, contrary to untrained adults, prepubertal children are metabolically comparable to well-trained adult endurance athletes and if this translates into similar fatigue rates during high-intensity exercise between both populations. The main results confirm our hypotheses since prepubertal children had a comparable net contribution of energy derived from aerobic metabolism to well-trained adult endurance athletes, and the rate of fatigue, as illustrated by the relative decrement in power output during the Wingate test, was similar between both populations. Furthermore, the post-exercise recovery rates of oxygen uptake and HR were respectively similar and faster in prepubertal children than well-trained adult endurance athletes. The removal ability of lactate from the blood compartment was also higher in children than well-trained adult endurance athletes.
In the present study, prepubertal children displayed a lower relative decrement in power output during the Wingate test than untrained adults (−35.2 vs. 51.8%, respectively); thus they fatigued much less than their untrained older counterparts. This finding cannot be explained by the fact that children performed more (especially aerobic) physical activity since the boys and men had to meet the same strict inclusion criteria and their relative VO2max were not significantly different (49.0 vs. 48.1 mL·min−1·kg−1, respectively). The finding is in accordance with the literature showing a reduced susceptibility to fatigue in prepubertal children during different whole-body, high-intensity activities such as cycling (Ratel et al.,
Among peripheral factors, the greater relative contribution of energy derived from aerobic metabolism in prepubertal children may account for their lower fatigability during high-intensity exercise. The significant positive relationship found in the present study between the fatigue index and the Pmax-to-PVO2max ratio as well as the lower Pmax-to-PVO2max ratio in children compared to young untrained adults (~1.9 vs. 3.2, respectively) support this assertion; the lower the relative anaerobic contribution, the lower the development of fatigue during high intensity exercise in children. Furthermore, the relative oxidative contribution was found to be greater in prepubertal children than untrained adults over the second half of the Wingate test. The recovery kinetics of cardio-respiratory parameters (VO2 and HR) and the removal ability of lactate out of the blood compartment (γ2) were also faster following the Wingate test in prepubertal children than untrained adults. These results are consistent with previous studies describing the changes in the anaerobic-to-aerobic mechanical power ratio (Pmax-to-PVO2max ratio) during growth using either longitudinal (Falk and Bar-Or,
This more oxidative metabolic profile in prepubertal children is usually associated with a lesser accumulation of metabolic by-products (i.e., H+ ions, lactate, inorganic phosphate) derived from anaerobic sources in exercising muscle (Kappenstein et al.,
While lactate ion accumulation itself has only a small effect on the loss of muscle power in fatigue (Allen et al.,
In contrast to untrained adults, prepubertal children displayed the same metabolic profile as well-trained adult endurance athletes. The Pmax-to-PVO2max ratio was similar in children and endurance-trained athletes (1.9 vs. 2.1, respectively), and was consistent with those previously reported in well-trained adult endurance athletes who had VO2max values between 60 and 70 mL·min−1·kg−1 (~2.0 for Meeuwisse et al.,
On a more practical level, the similar metabolic profile of prepubertal children and well-trained adult endurance athletes translated into comparable fatigue rates during the Wingate test (−35.2 vs. −41.8%, respectively) despite children taking more time to reach their maximal anaerobic power output. This is consistent with experimental data obtained by Hebestreit et al. (
The results of the present study showed a comparable net contribution of energy derived from aerobic metabolism during the Wingate test between prepubertal children and well-trained adult endurance athletes. Furthermore, the post-exercise recovery kinetics of oxygen uptake and HR were respectively similar and faster in prepubertal children than well-trained adult endurance athletes. The removal ability of lactate out of the blood compartment was also higher in children than well-trained adult endurance athletes. These results could explain why the rate and magnitude of fatigue in prepubertal children are similar to well-trained adult endurance athletes and why they recover faster from high-intensity exercise than untrained adults.
On a more practical level, the results of the present study suggest that prepubertal children may not have to perform specific training to develop their aerobic metabolic competence. Other strategies might be considered before puberty to improve exercise performance, including entrainment of anaerobic systems and movement technique training to improve mechanical efficiency. In contrast, as the maturational and growth processes have an adverse effect on oxidative energy production in exercising muscle, aerobic training may be a high priority in pubertal and post-pubertal children to maintain their aerobic potential and delay the development of exercise-induced fatigue.
This study was carried out in accordance with the recommendations of the local Institutional Ethics Review Board. The protocol was approved by the local Institutional Ethics Review Board. All subjects gave written informed consent in accordance with the Declaration of Helsinki.
All authors contributed to the data analysis and interpretation of the data, drafting, and revising the manuscript, and approved the final version of the manuscript. The original study design was made by AB, PB, AJB, PD, and SR and discussed with the other authors. AB, PB, EP, and HM performed the data analysis.
The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
The authors wish to thank the volunteers for their patience, time and effort.